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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIM MICAH SUPIN, D.M.D.

Active

DR. TIM MICAH SUPIN, D.M.D. is a Dentist healthcare provider located in VANCOUVER, Washington. NPI 1538362256 is currently active in the NPPES registry. Verify at CMS.

Dentist · VANCOUVER, WA

Registration Details

NPI Number
1538362256
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2007 (19.177929056968 yrs)
Last Updated
Jul 31, 2013
License
DE00010813 (WA)

Practice Information

Address
1412 NE 88TH ST
VANCOUVER, WA, 986659620
Browse WA providers · Browse ZIP 98665
Phone
3605744074
Primary Specialty
Dentist
122300000X

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SHERYL LEE DMD 1932103645
EUGENE KATSUMI SAKAI DMD, PS 1588662993
DR. MELANIE B LEE D.D.S. 1255358958
RICHARD OMANS 1447279138
DR. KRISTINE MELISSA AADLAND DMD 1427070549
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.